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1405 LOMBARD AVE 2022-04-29
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1405 LOMBARD AVE 2022-04-29
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Last modified
4/29/2022 1:20:00 PM
Creation date
4/29/2022 1:16:14 PM
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Address Document
Street Name
LOMBARD AVE
Street Number
1405
Notes
BACKWATER VALVE
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� <br /> f)����� <br /> . .� �0 <br /> pUg MA� �Z 20�1 � <br /> LIc wO�Ks <br /> PERMISSION TO INSPECT <br /> (�ewer Backwater Valve, Installation by Sewer L Construction) <br /> Property Address: �y� � h/J�1'����� , �V e ' <br /> Everett, WA 98201 <br /> Phone Number: �� r�`�l � �U y�5 � Sy 395� �- <br /> Email Address: �y��c.`�.�,� i���v�VI�ti1/{�C��'�� �-��t� <br /> 1� <br /> I am an owner of the properly described above. I give the City of Everett and its <br /> contractor(s) permission to enter the property for the purpose of inspecting the <br /> property for the City of Everett's backwater valve program. <br /> I can be reached at the above phone numbers to schedule the inspection. <br /> Signature ���7�'—`�U—` � �=�'��il, <br /> Print Name _��(�,���(�,�`5� UC�1��� <br /> Return this form to: <br /> City of Everett Public Works <br /> Attn: David Voigt, P.E. <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br />
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